person
Shannon Devaughn Smith
Addiction (Substance Use Disorder) Counselor in Lakewood, Ohio
NPI 1326669888

Shannon Devaughn Smith is an Addiction (Substance Use Disorder) Counselor based in Lakewood, OH and is specialized in Addiction (Substance Use Disorder). Shannon Devaughn Smith practices in Lakewood, OH. The NPI Number for Shannon Devaughn Smith is 1326669888 and holds a License No. 000332976 (Ohio).

The current practice location address for Shannon Devaughn Smith is 17400 Northwood Ave, Lakewood, OH and can be reached out via phone at 216-403-8640.

Location: 17400 Northwood Ave, Lakewood, OH, 44107-2210
person
Provider Profile Details
NPI Number
1326669888
Provider Name
Shannon Devaughn Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
17400 Northwood Ave, Lakewood, OH, 44107-2210
Phone Number
216-403-8640
Fax Number
Provider Enumeration Date
05/06/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
APP-000332976 05 OH
institution
Provider Business Practice Location Address Details
Address
17400 Northwood Ave
City
State
Zip
44107-2210
Phone Number
216-403-8640
Fax Number
person
Provider Business Mailing Address Details
Address
17400 Northwood Ave
City
State
Zip
44107-2210
Phone Number
216-403-8640
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
000332976 (Ohio)
Definition
Definition to come...
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